Chace Barrett Mitchell, in Los Angeles, CA - Medicare Student in an Organized Health Care Education/Training Program

Chace Barrett Mitchell, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. His current practice location is 1520 San Pablo St Ste 4300, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-7824.

Chace Barrett Mitchell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215565726.

Contact Information

	Chace Barrett Mitchell,
	1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330
	(323) 442-7824
	Not Available

Map and Direction

Physician's Profile

Full Name	Chace Barrett Mitchell
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1520 San Pablo St Ste 4300, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215565726
Provider Enumeration Date: 03/30/2020
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0143678573
Enrollment ID: I20231127000503

Medical Identifiers

Medical identifiers for Chace Barrett Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215565726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	U5760 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chace Barrett Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chace Barrett Mitchell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chace Barrett Mitchell, 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 Ph: (323) 442-7824	Chace Barrett Mitchell, 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 Ph: (323) 442-7824

Chace Barrett Mitchell, - Medicare Student in an Organized Health Care Education/Training Program in Los Angeles, CA